Jaya M. Therattil in Augusta - Pediatric Allergy/immunology
Jaya M. Therattil - NPI 1043285810
Jaya M. Therattil is a Pediatric Allergy/immunology in Augusta, Georgia. Jaya M. Therattil practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Jaya M. Therattil is 1043285810. The last update date is 2021-07-14.
Jaya M. Therattil's current location address is 3630 J Dewey Gray Cir, Augusta, Georgia. You can contact this provider via phone number 7068556130 and fax number 7068556139. The mailing address for Jaya M. Therattil is 3630 J Dewey Gray Cir, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaya M. Therattil |
|---|---|
| Address | 3630 J Dewey Gray Cir, Augusta, Georgia |
| Phone Number | 7068556130 |
| Fax Number | 7068556139 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043285810 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2021-07-14 |
Provider Mailing Address Detail
| Address | 3630 J Dewey Gray Cir |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309091867 |
| Phone Number | 7068556130 |
| Fax Number | 7068556139 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Allergy/immunology |
|---|---|
| Taxonomy | 2080P0201X |
| Licence No | 48731 |
|
Definition: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000893802B | GA | -- | |
| 000893802D | GA | -- | |
| G48731 | SC | -- | |
| 000893802C | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jaya M. Therattil by the Centers for Medicare & Medicaid Services?
The Jaya M. Therattil has been assigned the NPI (National Provider Identifier) 1043285810 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jaya M. Therattil is geographically located?
The Jaya M. Therattil is physically situated at the following location: 3630 J Dewey Gray Cir, Augusta, GA, 309091867.
What is the Jaya M. Therattil's specialty and taxonomy code?
The Jaya M. Therattil's specialty is Pediatric Allergy/immunology, and the corresponding taxonomy code is 2080P0201X.
On what date did the Jaya M. Therattil receive the assignment of its 1043285810 from the Centers for Medicare & Medicaid Services?
The Jaya M. Therattil was issued its 1043285810 by the Centers for Medicare & Medicaid Services on 2006-02-22.
As of what date were the details related to Jaya M. Therattil most recently updated or revised?
The information pertaining to Jaya M. Therattil, including its address, specialty, and other relevant details, was last updated or revised on 2021-07-14.